肿瘤患者PICC并发静脉血栓的影响因素以及护理策略研究
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摘要
目的研究肿瘤患者经外周静脉穿刺中心静脉置管(PICC)并发静脉血栓的影响因素以及护理策略。方法 47例行PICC后并发静脉血栓的肿瘤患者,回顾性分析并发静脉血栓的影响因素;根据不同护理策略划分为对照组(23例)和研究组(24例)。对照组患者给予常规护理,研究组患者在对照组基础上给予综合护理干预。对比两组患者护理前后心理状态;护理后血小板各参数、各血栓前状态分子标志物水平;护理满意度。结果肿瘤患者PICC并发静脉血栓的影响因素较多,包括:①不同年龄段;②不同肿瘤分期;③置入静脉;④管道的材料、位置等。护理后,两组患者汉密尔顿焦虑量表(HAMA)评分均较本组护理前明显下降,且研究组HAMA评分(19.78±4.51)分低于对照组的(24.97±4.53)分,差异具有统计学意义(P<0.05)。护理后,两组患者血小板各参数水平对比差异有统计学意义(P<0.05)。护理后,两组患者各血栓前状态分子标志物水平对比差异具有统计学意义(P<0.05)。研究组患者护理满意度为95.83%,高于对照组的69.57%,差异具有统计学意义(P<0.05)。结论肿瘤患者PICC并发静脉血栓的影响因素较多,而给予并发静脉血栓的PICC患者综合护理干预,能够最大限度地改善血栓状态,进而提升患者的生存质量。
Objective To study the influencing factors and nursing strategies of peripherally inserted central catheter(PICC) complicated with venous thrombosis in tumor patients. Methods A total of 47 patients with venous thrombosis after PICC were retrospectively analyzed. According to different nursing strategies, they were divided into control group(23 cases) and research group(24 cases). The control group received conventional nursing, and the research group received conventional nursing intervention on the basis of the control group.Comparison were made on psychological state before and after nursing, platelet parameters and molecular markers level of prethrombotic state after nursing and nursing satisfaction between the two groups. Results There were many factors affecting PICC complicated with venous thrombosis in tumor patients, including: ①different age groups; ② different stages of tumors; ③ vein implantation; ④ material and location of the pipeline. After nursing,both groups had obviously lower Hamilton anxiety scale(HAMA) than that before nursing, and the research group had lower HAMA score as(19.78±4.51) points than(24.97±4.53) points in the control group. Their difference was statistically significant(P<0.05). After nursing, both groups had statistically significant difference in platelet parameters(P<0.05). After nursing, both groups had statistically significant difference in molecular markers level of prethrombotic state(P<0.05). The research group had higher nursing satisfaction degree as 95.83% than 69.57% in the control group, and the difference was statistically significant(P<0.05). Conclusion There are many factors influencing PICC complicated with venous thrombosis in patients with tumor, and comprehensive nursing intervention of PICC can maximize the thrombus state of patients with complicated venous thrombosis and improve their quality of survival.
Objective To study the influencing factors and nursing strategies of peripherally inserted central catheter(PICC) complicated with venous thrombosis in tumor patients. Methods A total of 47 patients with venous thrombosis after PICC were retrospectively analyzed. According to different nursing strategies, they were divided into control group(23 cases) and research group(24 cases). The control group received conventional nursing, and the research group received conventional nursing intervention on the basis of the control group.Comparison were made on psychological state before and after nursing, platelet parameters and molecular markers level of prethrombotic state after nursing and nursing satisfaction between the two groups. Results There were many factors affecting PICC complicated with venous thrombosis in tumor patients, including: ①different age groups; ② different stages of tumors; ③ vein implantation; ④ material and location of the pipeline. After nursing,both groups had obviously lower Hamilton anxiety scale(HAMA) than that before nursing, and the research group had lower HAMA score as(19.78±4.51) points than(24.97±4.53) points in the control group. Their difference was statistically significant(P<0.05). After nursing, both groups had statistically significant difference in platelet parameters(P<0.05). After nursing, both groups had statistically significant difference in molecular markers level of prethrombotic state(P<0.05). The research group had higher nursing satisfaction degree as 95.83% than 69.57% in the control group, and the difference was statistically significant(P<0.05). Conclusion There are many factors influencing PICC complicated with venous thrombosis in patients with tumor, and comprehensive nursing intervention of PICC can maximize the thrombus state of patients with complicated venous thrombosis and improve their quality of survival.
引文
[1]林丽婵,甘淑贞,欧英慧.恶性肿瘤化疗患者PICC置管术后静脉血栓形成的原因分析与预防对策.中国现代药物应用, 2018,12(19):74-76.
[2]喻意美.护理干预预防老年妇科肿瘤术后深静脉血栓的临床效果分析.中国现代药物应用, 2018, 12(18):181-182.
[3]韩明霞,高淼,惠小娟.多方案护理干预在胃肠道肿瘤患者术后下肢深静脉血栓形成防治中的临床价值.中国肿瘤临床与康复, 2018, 25(8):1017-1019.
[4]李爱华,罗容,郭坊,等.肿瘤化疗患者PICC上肢静脉血栓形成影响因素临床分析.中国卫生标准管理, 2018, 9(10):76-77.
[5]张丽娜,高玉英,朱丽,等. PICC相关性血栓形成后保留导管患者的观察与护理体会.中国卫生标准管理, 2018, 9(8):194-196.
[6]于倩倩,王培霞,王培培.早期护理干预对老年消化道肿瘤术后下肢深静脉血栓形成的影响研究.中国卫生标准管理, 2018,9(6):131-132.
[7]张亚娜,薛娟,孙锦华.护理干预对老年消化道肿瘤术后下肢深静脉血栓影响效果分析.实用临床医药杂志, 2018, 22(6):64-67.
[8]潘敏.肿瘤患者行PICC置管后伴发静脉血栓的原因分析及护理干预.中国继续医学教育, 2018, 10(10):161-163.
[2]喻意美.护理干预预防老年妇科肿瘤术后深静脉血栓的临床效果分析.中国现代药物应用, 2018, 12(18):181-182.
[3]韩明霞,高淼,惠小娟.多方案护理干预在胃肠道肿瘤患者术后下肢深静脉血栓形成防治中的临床价值.中国肿瘤临床与康复, 2018, 25(8):1017-1019.
[4]李爱华,罗容,郭坊,等.肿瘤化疗患者PICC上肢静脉血栓形成影响因素临床分析.中国卫生标准管理, 2018, 9(10):76-77.
[5]张丽娜,高玉英,朱丽,等. PICC相关性血栓形成后保留导管患者的观察与护理体会.中国卫生标准管理, 2018, 9(8):194-196.
[6]于倩倩,王培霞,王培培.早期护理干预对老年消化道肿瘤术后下肢深静脉血栓形成的影响研究.中国卫生标准管理, 2018,9(6):131-132.
[7]张亚娜,薛娟,孙锦华.护理干预对老年消化道肿瘤术后下肢深静脉血栓影响效果分析.实用临床医药杂志, 2018, 22(6):64-67.
[8]潘敏.肿瘤患者行PICC置管后伴发静脉血栓的原因分析及护理干预.中国继续医学教育, 2018, 10(10):161-163.